Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127381881 | 12738188 | 1 | I | 20151014 | 20160907 | 20160913 | 20160913 | PER | JP-EISAI MEDICAL RESEARCH-EC-2016-020157 | EISAI | 83.00 | YR | F | Y | 0.00000 | 20160913 | PH | JP | JP |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127381881 | 12738188 | 1 | PS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | Oral | UNKNOWN | Y | 20690 | ORALLY DISINTEGRATING TABLETS | ||||||||
| 127381881 | 12738188 | 2 | C | ESOMEPRAZOLE | ESOMEPRAZOLE | 1 | 0 | 10 | MG | QD | |||||||||
| 127381881 | 12738188 | 3 | C | ATORVASTATIN | ATORVASTATIN | 1 | 0 | 10 | MG | QD | |||||||||
| 127381881 | 12738188 | 4 | C | TERBINAFINE. | TERBINAFINE | 1 | 0 | 125 | MG | QD | |||||||||
| 127381881 | 12738188 | 5 | C | BERAPROST SODIUM | BERAPROST SODIUM | 1 | 0 | 40 | UG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127381881 | 12738188 | 1 | Dementia |
| 127381881 | 12738188 | 2 | Product used for unknown indication |
| 127381881 | 12738188 | 3 | Product used for unknown indication |
| 127381881 | 12738188 | 4 | Product used for unknown indication |
| 127381881 | 12738188 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127381881 | 12738188 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127381881 | 12738188 | Atrioventricular block complete |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127381881 | 12738188 | 1 | 20150214 | 20151014 | 0 |